MC-19-2172 (2)Miami Shores Village
10050 NE 2 Ave
Miami Shores FL 33138
305-795-2204
Location Address
Issue Date:10/09/2019
Parcel Number
130 NE 97TH ST, Miami Shores, FL 33138 1132060132530
Contacts
Permit NO.: MC-09-19-2172
Permit Type: Mechanical - Residential
Work Classification: Alteration
Permit Status: Approved
Expiration: 04/06/2020
MIGUEL GARROCHO Owner
Other: 7863714974
CHALEX COOL AIR OF MIAMI, CORP Contractor
ALEXANDER E REYES
5511 NW 74 AVE, MIAMI, FL 33166
Business: 7863674184 JRCHALEXCOOL@GMAIL.COM
Description: ONE DRY VENTILATION Valuation: $ 200.00 Inspection Requests:
305-762-4949
Total Sq Feet: 0.00
Fees
Amount
Application Fee - Other
$50.00
CCF
$0.60
DBPR Fee
$2.00
DCA Fee
$2.00
Education Surcharge
$0.20
Permit Fee
$100.00
Scanning Fee
$3.00
Technology Fee
$2.50
Work Without Permit 1st Offense
$150.00
Work Without Permit 1st Offense
$100.00
Total:
$410.30
Building Department Copy
Payments
Date Paid Amt Paid
Total Fees
$410.30
Credit Card
10/09/2019 $360.30
Check # 6017
09/18/2019 $50.00
Amount Due:
$0.00
In consideration of the issuance to me of this permit, I agree to perform the work covered hereunder in compliance with all ordinances and regulations
pertaining thereto and in strict conformity with the plans, drawings, statements or specifications submitted to the proper authorities of Miami Shores
Village. In accepting this permit I assume resp ility for all work done by either myself, my agent, servants, or employes. I understand that separate
permits are required for ELECTRICAL, PLU IN ECHANICAL, WINDOWS, DOORS, ROOFING and SWIMMING POOL work.
OWNEI3�AFF'DAVIT: I certify that t foregoing information is accurate and that all work will be done in compliance with all applicable laws
reguly(ing con ruction and zoning. F more, I authorize the above named contractor to do the work stated.
Signature: Owner
09, 2019
/ Applicant / Contractor / Agent
Date
Page 2 of 2
w
EIVED
Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
❑BUILDING ❑ ELECTRIC ❑ ROOFING
jS E 1 8 019
BY: -
FBC 20 19
Master Permit No. (- I
Sub Permit No. (q - 2- 12
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑PLUMBING AM
ECHANICAL ❑PUBLICWORKS ❑CHANGE OF ❑ CANCELLATION ❑SHOP
�A`` CONTRACTOR DRAWINGS
M JOB ADDRESS: 130 F:,- C11.5I
City: Miami Shores County: Miami Dade Zip: 33158
Folio/Parcel#: Is the Building Historically Designated: Yes NO
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
OWNER: Name (Fee Simple Titleholder): f \ me-� G9 AV O-OCv�c Phone#: 205-3 j ? 7/ ?�
Address: 1,30 NF. 4)1 ST.
City: H I i4k S 441
State: FL Zip: 3 / 3 $
Tenant/Lessee Name:
Phone#:
Email: ('Md (* G( 4 K
CONTRACTOR: Company Nam1 e: IA44 Wy l klo (A Phone#: 1 f� ' �1 � `i 184
Address:),
City: �iM�Q(M� State: I_ Zip: l) ,J(ID10
Qualifier Name: /'rt1
State Certification or Registration #: C-M(- \ Z-cJ OSZS Certificate of Competency #:
DESIGNER: Architect/Engineer:
Address:
Value of Work for this.ser
Type of Work: ❑ Add
Description of Work:
Phone#:
City:
Square/Linear Footage of Work-
❑ Alteration New ❑ Repair/Replace
7SE _-2k-7--Q 1PCf
e Zip:
❑ Demolition
Specify colorofcolor thru tile: q�
Submittal Fee $ 50 - OZ) Permit Fee $ V� CCF $ CO/CC $
Scanning Fee $
Technology Fee $
Structural Reviews $
Radon Fee $ DBPR $
_Training/Education Fee $ �_�DoubleFee (so- 00
and $
TOTAL FEE NOW DUE $ 360 3 O
(Revised02/24/2014)
Bonding Company's Name (if applicable)
Bonding Company's Address
City
State
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City
State
Zip
Zi
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC.....
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property is subject to attachment. Also, a certiftw4.cqpy of the recorded notice of commencement must be posted at the job site
for the first inspection which occurs seven (7) d s after the building permit is issued. In the absence of such posted notice, the
inspection will not be droved and a reinspect' n fee 1 be charged.
OWNER or AGENT
The foregoing instrument was acknowledged before me this
day of Sinn 13E� , 20 1 " , by
Ga, pip.. , who is personally known to
me or who has produced ��� CK_2 CXPEN'as`
identification and who did take an oath.
NOTARY PU L C:
Sign:
Print: (�f"}'I Q
Seal:
SINDIA ALVAREZ
*; MY COMMISSION # GG 238273
Bonded Thru Notary Public
APPROVED BY
Signature 4,L�06__ /, Ile, 'i —
CONTRACTOR
The foregoing instrument was acknowledged before me this
1 day of J 5eyi gi4— , 20 1 by
�1 LILT rrl IQi) 2 (.4:) , who is personally known to
me or who h d
MY
identificatio "'.did tal
NOTARY PU Bork
7
Sign:
Print:
Seal:
Examiner
E-11
he 27, 2020
Public Undwmflere
************************************************
Zoning
(Revised02/24/2014)
Structural Review
Clerk